When Psychotherapy Is Not Working: Ethical Considerations
| Autor: | Arthur M. Nezu |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
050103 clinical psychology
Psychotherapist business.industry 05 social sciences Patient characteristics 030227 psychiatry Clinical expertise 03 medical and health sciences Clinical Psychology 0302 clinical medicine Harm Informed consent Health care Ethical concerns 0501 psychology and cognitive sciences business Psychology Competence (human resources) Ethical code |
| Zdroj: | Cognitive and Behavioral Practice. 27:417-425 |
| ISSN: | 1077-7229 |
| DOI: | 10.1016/j.cbpra.2020.05.006 |
| Popis: | Evidence-based practice (EBP) models have been developed, in part, to enhance the likelihood that the outcome of health care treatment, including psychotherapy, leads to positive improvement. However, two additional outcomes can occur: no change and poor outcome (e.g., harm, worsening of symptoms). What does the clinician do when psychotherapy is not working? When faced with various treatment decisions, such as this, the EBP model posits that therapists should apply their clinical expertise in considering the “best available research” within the context of various patient characteristics. In part because of various limitations of this approach, I suggest that another important set of principles are important to consider in tandem when faced with this clinical dilemma—that is, ethical concerns. Borrowing from the American Psychological Association’s (2017a) Ethics Code, I discuss how the following issues exist when clinicians wrestle with this question: avoidance of harm, competence, conflicts of interest, and informed consent. I conclude this paper with a list of suggestions that can potentially foster the application of ethical principles when making treatment decisions. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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